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Giant cell arteritis

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prognosis
Clinical features

Look for  other causes of a headache d 

Note:

  • Patients without a recent onset headache, jaw claudication or an abnormal temporal artery are unlikely to have giant cell arteritis. b
Why?

No recent headache, jaw claudication or abnormal temporal artery make giant cell arteritis unlikely

Patient Target Disorder and
Reference Standard
Diagnostic Test LR+
(95% CI)
Post-test Probability LR-
(95% CI)
Post-test Probability
suspected giant cell arteritis having a temporal artery biopsy b (pre-test probability: 53%) giant cell arteritis
(positive temporal artery biopsy)
any of recent onset headache, jaw claudication, abnormal temporal artery 2.9
(2.0 to 4.1)
69% 0.0
(0.0 to 0.098)
0%

 

Expiry date: January 2004
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   M V   Kyle
CAT Writer   CM   Ball